Dr Daniel J Roubik, MD | |
325 9th Ave, Seattle, WA 98104-2420 | |
(206) 520-5000 | |
Not Available |
Full Name | Dr Daniel J Roubik |
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Gender | Male |
Speciality | Surgery - Trauma Surgery |
Location | 325 9th Ave, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922414663 | NPI | - | NPPES |
1922414663 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 26768 (Nebraska) | Secondary |
208600000X | Surgery | MD61264535 (Washington) | Secondary |
2086S0127X | Surgery - Trauma Surgery | MD61264535 (Washington) | Primary |
Entity Name | The Association Of University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
Entity Name | Providence Health & Services- Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
Mailing Address | Practice Location Address |
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Dr Daniel J Roubik, MD Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 520-5700 | Dr Daniel J Roubik, MD 325 9th Ave, Seattle, WA 98104-2420 Ph: (206) 520-5000 |
Dr. Matthew Alexander Johnston, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1221 E Madison St, Ste 1401, Seattle, WA 98122 Phone: 206-386-6702 | |
Dr. Emily Norpell Palmquist, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-520-5000 | |
Robert Dale Mcclure, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 | |
Abigail K Wiebusch, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-341-0060 | |
Dewahar Senthoor, MD Surgery Medicare: Medicare Enrolled Practice Location: 1959 Ne Pacific St, Seattle, WA 98195 Phone: 206-520-5000 | |
Thomas R Biehl, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-223-6600 Fax: 206-515-5886 | |
Mr. Vimukta Mahadev, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1959 Ne Pacific St, Box 356410, Seattle, WA 98195 Phone: 714-397-5742 |